Naslov
Spontaneous intracranial hypotension

Autori
Čerimagić, Denis ; Bilić, Ervina

Izvornik
Neurologia Croatica (0353-8842) 63 (2014), 3-4; 97-98

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, stručni

Ključne riječi
Intracranial hypotension – diagnosis ; Magnetic resonance imaging ; Headache – etiology

Sažetak
A 55-old-female was admitted to the Department of Neurology because of diff use headache, tinnitus in the right ear, stiff neck and vomiting, persisting for one month with various intensity. Magnetic resonance imaging (MRI) of the brain showed a smooth uniform pachymeningeal uptake of contrast and subdural collection of fluid. Cerebrospinal fluid (CSF) analysis showed mild lymphocytic pleocytosis (34/3) and elevated protein level (1.44 g/L). Based on the results of these findings, the diagnosis of spontaneous intracranial hypotension (SIH) was established. The incidence of SIH is about 5 per 100 000 population. This syndrome is a result of CSF leakage due to a tear in the dura, most frequently where spinal roots leave the subarachnoid space. Even trivial trauma of the cervical spine may precipitate intracranial hypotension. If this does not heal with bed rest, an epidural blood patch or percutaneous injection of fibrin glue may be applied. Our patient was treated conservatively and there was complete regression of clinical symptoms and improvement of MRI findings aft er 4 months. Since the introduction of MRI in the diagnostics of headache, SIH has been increasingly diagnosed as an uncommon cause of headache.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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